title: Travel-related chronic hemorrhagic leg ulcer infection by Shewanella algae.
abstract: Shewanella algae is an emerging seawater-associated bacterium. In immunocompromised patients, infections may result in bacteremia, osteomyelitis, and necrotizing fasciitis. Our patient, suffering from autoimmune vasculitis and myasthenia gravis, developed typical hemorrhagic bullae and leg ulcers because of S algae. She was treated efficiently with a combination of ciprofloxacin and piperacillin.
authors.affiliation: Department of Dermatology, Klinikum Darmstadt, Darmstadt, Germany. Nicola.Wagner@klinikum-darmstadt.de
authors.forename: Nicola
authors.initials: N
authors.lastname: Wagner
authors.forename: Lisa
authors.initials: L
authors.lastname: Otto
authors.forename: Maurizio
authors.initials: M
authors.lastname: Podda
authors.forename: York
authors.initials: Y
authors.lastname: Schmitt
authors.forename: Dennis
authors.initials: D
authors.lastname: Tappe
mesh_terms: D002908:Chronic Disease; D017523:Croatia / Q000453:epidemiology; D003937:Diagnosis, Differential; D005260:Female; D005858:Germany / Q000208:ethnology; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis / Q000208:ethnology / Q000382:microbiology*; D006470:Hemorrhage / Q000175:diagnosis / Q000208:ethnology / Q000382:microbiology*; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis / Q000208:ethnology / Q000382:microbiology*; D008875:Middle Aged; D020592:Shewanella / Q000302:isolation & purification*; D014195:Travel